Ins/rpl ldless pm right vent w img & eval at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$25,140.15
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$55,867.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$417.72 with BCBS - Anthem vs $82,009.44 with Sutter Health — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $417.72 | ↓ -98% |
| COSC Psych | Medicaid|All Plans | $417.72 | ↓ -98% |
| Central California Alliance for Health | Medicaid|All Plans | $417.72 | ↓ -98% |
| Health Net | Medicaid|> 21 | $631.97 | ↓ -97% |
| Health Net | Medicaid|< 21 | $631.97 | ↓ -97% |
| BCBS - Anthem | Commercial|All Other Plans | $11,529.00 | ↓ -54% |
| Blue Shield CA | Commercial|Exchange | $11,908.00 | ↓ -53% |
| Blue Shield CA | Commercial|ACO Trio | $12,446.00 | ↓ -50% |
| Blue Shield CA | Commercial|All Other Plans | $15,214.00 | ↓ -39% |
| BCBS - Anthem | Commercial|MCS | $16,016.00 | ↓ -36% |
| Health Net | Commercial|Community Care | $20,652.00 | ↓ -18% |
| Health Net | Commercial|Care Product | $25,143.00 | ↑ +0% |
| Health Net | Commercial|Blue Gold | $25,437.00 | ↑ +1% |
| Health Net | Medicare|All Plans | $26,201.10 | ↑ +4% |
| United | Medicare|All Plans | $26,201.10 | ↑ +4% |
| Blue Shield CA | Medicare|All Plans | $26,201.10 | ↑ +4% |
| Kaiser | Medicare|All Plans | $26,201.10 | ↑ +4% |
| Aetna | Commercial|HMO | $26,811.00 | ↑ +7% |
| Aetna | Commercial|PPO | $27,018.00 | ↑ +7% |
| Health Net | Commercial|All Other Plans | $27,936.00 | ↑ +11% |
| Blue Shield CA | Commercial|DHMF | $29,869.25 | ↑ +19% |
| Kaiser | Commercial|All Plans | $36,313.55 | ↑ +44% |
| Western Growers | Commercial|All Plans | $37,989.56 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $44,693.60 | ↑ +78% |
| Multiplan | Commercial|All Plans | $47,486.95 | ↑ +89% |
| First Health | Commercial|All Plans | $47,486.95 | ↑ +89% |
| United | Commercial|All Other Plans | $50,280.30 | ↑ +100% |
| United | Commercial|HMO | $53,632.32 | ↑ +113% |
| United | Commercial|Options PPO | $53,632.32 | ↑ +113% |
| United | Commercial|Non-Options PPO | $55,867.00 | ↑ +122% |
| Sutter Health | Commercial|All Plans | $82,009.44 | ↑ +226% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $17,482.34 | $631.97 – $43,115.78 |
| Arroyo Grande Hospital | Santa Maria | $27,923.15 | $417.72 – $63,936.18 |
| French Hospital | San Luis Obispo | $25,574.48 | $417.72 – $63,936.18 |
| Bakersfield Memorial Hospital | Bakersfield | $21,010.75 | $417.72 – $45,227.50 |
| Queen of The Valley Medical Center | Napa | $24,293.85 | $7,745.00 – $89,248.00 |
| Providence St Joseph Hospital Eureka | Eureka | $27,480.84 | $9,008.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $16,491.05 | $417.72 – $47,117.28 |
| Santa Rosa Memorial Hospital | Santa Rosa | $23,344.74 | $4,233.00 – $26,801.96 |